Incidence and prevention of infective endocarditis and bacteraemia after transcatheter aortic valve implantation in a French university hospital: a retrospective study

Infective endocarditis (IE) after transcatheter aortic valve implantation (TAVI) is a rare but severe complication. Among 326 patients who underwent TAVI at Grenoble Alpes University Hospital, six (1.8%) cases of IE and 11 (3.4%) cases of bacteraemia were identified. No cases of IE were linked to th...

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Bibliographic Details
Published in:The Journal of hospital infection 2018-05, Vol.99 (1), p.94-97
Main Authors: Gallouche, M., Barone-Rochette, G., Pavese, P., Bertrand, B., Vanzetto, G., Bouvaist, H., Pierre, I., Schmitt, D., Fauconnier, J., Caspar, Y., Recule, C., Picot-Guéraud, R., Stahl, J.P., Mallaret, M.R., Landelle, C.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Bacteraemia
Bacteremia - epidemiology
Decolonization
Endocarditis - complications
Endocarditis - epidemiology
Female
France - epidemiology
Hospitals, University
Humans
Incidence
Infective endocarditis
Life Sciences
Male
Middle Aged
Retrospective Studies
Santé publique et épidémiologie
Screening
Staphylococcal Infections - epidemiology
Staphylococcus aureus
Staphylococcus aureus - isolation & purification
Transcatheter aortic valve implantation
Transcatheter Aortic Valve Replacement - adverse effects
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Summary:Infective endocarditis (IE) after transcatheter aortic valve implantation (TAVI) is a rare but severe complication. Among 326 patients who underwent TAVI at Grenoble Alpes University Hospital, six (1.8%) cases of IE and 11 (3.4%) cases of bacteraemia were identified. No cases of IE were linked to the intervention; one was due to Staphylococcus aureus despite a screening and targeted decolonization strategy. This underscores the need for randomized studies to evaluate the benefit and cost-effectiveness of this policy.
ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2017.11.013